Marisa Adlesich, PA-C - Medicare Physician Assistant in Tigard, OR

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Marisa Adlesich, PA-C is a medicare enrolled "Physician Assistant" in Tigard, Oregon. She graduated from nursing school in 2018 and has 8 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Northwest Cancer Specialists Pc, Rocky Mountain Cancer Centers Llp, Oregon Oncology Specialists Llp and her current practice location is 12123 Sw 69th Ave, Tigard, Oregon. You can reach out to her office (for appointments etc.) via phone at (971) 708-7600.

Marisa Adlesich is licensed to practice in Oregon (license number PA203098) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1679047708.

Contact Information

Marisa Adlesich, PA-C
12123 Sw 69th Ave,
Tigard, OR 97223-8514
(971) 708-7600
(971) 371-5230

Map and Direction




Provider's Profile

Full NameMarisa Adlesich
GenderFemale
SpecialityPhysician Assistant
Experience8 Years
Location12123 Sw 69th Ave, Tigard, Oregon
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Marisa Adlesich graduated from nursing school in 2018
  NPI Data:
  • NPI Number: 1679047708
  • Provider Enumeration Date: 01/11/2019
  • Last Update Date: 03/05/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 2365782257
  • Enrollment ID: I20210220000127

Medical Identifiers

Medical identifiers for Marisa Adlesich such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1679047708NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant PA203098 (Oregon)Primary
363A00000XPhysician Assistant PA.0006105 (Colorado)Secondary
363A00000XPhysician Assistant 2314 (Nebraska)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Legacy Meridian Park Medical CenterTualatin, ORHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Northwest Cancer Specialists Pc842694383870
Rocky Mountain Cancer Centers Llp7012820533131
Oregon Oncology Specialists Llp397157624041

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Marisa Adlesich allows following entities to bill medicare on her behalf.
Entity NameGood Samaritan Hospital Corvallis
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962453134
PECOS PAC ID: 1557270725
Enrollment ID: O20031125000163
Entity NameNorthwest Physician Associates PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275567919
PECOS PAC ID: 4183523806
Enrollment ID: O20040119000365
Entity NameNorthwest Cancer Specialists PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407828114
PECOS PAC ID: 8426943838
Enrollment ID: O20040216000873
Entity NameOregon Oncology Specialists LLP
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013953025
PECOS PAC ID: 3971576240
Enrollment ID: O20040816000322

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Marisa Adlesich is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Marisa Adlesich, PA-C
1498 Se Tech Center Pl Ste 240,
Vancouver, WA 98683-5508

Ph: (360) 597-1313		Marisa Adlesich, PA-C
12123 Sw 69th Ave,
Tigard, OR 97223-8514

Ph: (971) 708-7600

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.